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MRS. JILLIAN MARIE FORD OTR/L

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1982118600

Individual Registrant:
MRS. JILLIAN MARIE FORD OTR/L
Gender: F
Not Sole Proprietor

Location and contact information for practice:
8011 LEGACY SPRING BLVD  LANESVILLE, IN 47136-0017 US
Tel: 502-751-2400  Fax: --

Contact information for business:
8011 LEGACY SPRINGS BLVD.  LANESVILLE, IN 47136 US
Tel: 502-751-2400  Fax: --

Registration Information:
NPI: 1982118600
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
KY132222

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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